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Raymond Pranata
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Editorial Office: Heart House, Jalan Katalia Raya No. 5, Kota Bambu Utara West Jakarta, 11430 - Indonesia Telephone: +62 21 5681149, Fax: +62 21 5684220 Email: ijc@inaheart.org
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INDONESIA
Indonesian Journal of Cardiology
Published by Indonesian Heart Association
ISSN : 28303105     EISSN : 29647304     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Indonesian Journal of Cardiology (IJC) is a peer-reviewed and open-access journal established by Indonesian Heart Association (IHA)/Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI) [www.inaheart.org] on the year 1979. This journal is published to meet the needs of physicians and other health professionals for scientific articles in the cardiovascular field. All articles (research, case report, review article, and others) should be original and has never been published in any magazine/journal. Prior to publication, every manuscript will be subjected to double-blind review by peer-reviewers. We consider articles on all aspects of the cardiovascular system including clinical, translational, epidemiological, and basic studies. Subjects suitable for publication include but are not limited to the following fields: Acute Cardiovascular Care Arrhythmia / Cardiac Electrophysiology Cardiovascular Imaging Cardiovascular Pharmacotherapy Cardiovascular Public Health Policy Cardiovascular Rehabilitation Cardiovascular Research General Cardiology Heart Failure Hypertension Interventional Cardiology Pediatric Cardiology Preventive Cardiology Vascular Medicine
Arjuna Subject : Kedokteran - Cardiology and Cardiovascular Medicine
Articles 11 Documents
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Search results for , issue "Vol. 32, No. 3 Juli - September 2011" : 11 Documents clear
Antara dua kepentingan: Modal dan Kemajuan Profesi Mohammad Toyibi
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.90

Abstract

Sebuah kemajuan pesat di profesi kedokteran tidak lepas dari pesat  nya kemajuan riset2 ilmu-ilmu dasar dan riset ilmu terapan. Ketekunan para peniliti pada level penyusunan  hipotesis, dan pelaksanaan experiment, menjadikan ilmu-dasar dan ilmu terapan sebagai tulang pungung kemajuan ilmu kedokteran, termasuk kardiovaskular. Dalam serangkaian eksperimen laboratorium, peralatan yang memadai membutuhkan modal uang. Selanjutnya, percobaan pada binatang dan manusia tidak lepas dari kebutuhan modal uang ini. Dalam logika manajemen keuangan kapitalistik, semua biaya yang dikeluarkan harus kembali bersama interest dan gainnya. Memasuki babak pemasaran peralatan kedokteran, tidak kurang perhitungan biaya marketing mutlak diperhitungkan, sehingga harga sebuah alat kedokteran jauh lebih mahal dari harga material alat itu sendiri.
Massa Dan Fungsi Ventrikel Kiri Pada Malnutrisi Energi Protein Tipe Marasmus Herlina Dimiati; Sudigdo Sastroasmoro; Sukman Tulus Putra; Aryono Hendarto
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.91

Abstract

Objectives. To determine the left ventricular mass, the left ventricular systolic anddiastolic function of children suffering protein energy malnutrion marasmic type. Material.Pediatric patients suffering protein energy malnutrion marasmic type who came for treatment in Division of Pediatric Metabolic Nutrition, Departement of Child Health, Medical Faculty, Cipto Mangunkusumo Hospital Jakarta between June to August 2007.Methods. A cross-sectional study was conducted to evaluate left ventricular systolic function (EF and FS), left ventricular diastolic function (E, A, ratio E/A and IVRT) and left ventricular mass (LVDDi, LVDSi, LVMi) by Ultrasonography Sonos 4500. The student t-test was used, statistical significant was assumed with a< 0.05 with program SPSS 15.0 version. Results. Out of 25 subjects examined (9 male and 16 female), the left ventricular mass in marasmic patients was lower compared to control. Mean of LVMi (g/m2) marasmic and control each 22.5 (SD 17.7) and 39.1 (SD 41.1); p < 0.02. Systolic and diastolic function in marasmic were lower than the control and the difference was statistically significant. Mean EF in marasmic and control each 56.4% (SD 7.2) and 73.2% (SD 7,7) ; p = 0.001. Mean FS 28.6% (SD 4,9) and 40.4% (SD 8.7) ; p = 0.001. Mean ratio E/A in marasmic and control each 1.79 (SD 0.5) and 1.54 (SD 0.2); p = 0.04Conclusions. The left ventricular mass in marasmic was lower than a child with good nutrition. The left ventricular systolic and diastolic function of marasmic patients were disturbed. The left ventricular diastolic function seen in restrictive pattern.
Disfungsi Miokard pada Malnutrisi Energi Protein Anna Ulfah Rahajoe
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.92

Abstract

Malnutrisi Energi Protein (MEP) didefinisikan sebagai kondisi dimana simpanan protein tubuh berkurang baik dengan atau tanpa disertai penurunan lemak tubuh. Kondisi ini sering disebabkan oleh asupan nutrisi yang tidak mencukupi kebutuhan untuk pertumbuhan atau pemeliharaan tubuh.Data Riset Kesehatan Dasar Kementerian Kesehatan RI (Riskesdas) tahun 2010, mencatat 13,2% anak Indonesia mengalami kekurangan gizi kronis, dan 29,4% balita masih kekurangan berat badan. Meskipun dalam kurun waktu 3 tahun terakhir (2007-2010) anggaran untuk perbaikan gizi masyarakat terus meningkat, namun angka prevalensi gizi kurang pada balita hanya turun sedikit, yakni dari 18,4% (2007) menjadi 17,9% (2010); berarti ada sekitar 3,7 juta balita Indonesia masuk dalam kategori gizi kurang.Prevalensi kekurangan berat badan pada anak bervariasi antar propinsi, tertinggi di Nusa Tenggara Timur mencapai 33,6%, lebih dari tiga kali lipat Yogyakarta yang hanya 10,9%. Indonesia kini menghadapi beban ganda dalam hal gizi. Selain masalah gizi kurang yang masih menonjol, juga ancaman gizi lebih pada anak-anak.
Studi Prospektif Pemakaian Stent Bioaktif Pada Intervensi Koroner Perkutan Primer Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.93

Abstract

Background. Limited data are available on efficacy and safety of bioactive stent implantation in acute STEMI patient. This study aims to evaluate efficacy titanium nitrit-oxide stent implantation during primary percutaneous coronary intervention.Methods and Results. Thirty eight patients (age of 55.9 ± 8.35 years) presenting with less than 12 hours onsetacute STEMI enrolled in this study. After titanium nitrit oxide bioactive stent implantation then 12 months clinical follow up was performed. Infarct location were anterior (58%) and Killip class I (82%) in majority of cases. Average door to balloon time is 85.7 ± 33.88 minutes. Cilprit lesions have characteristics of simple lesion as it comprised of almost 90% of denovo and 60.5% were type A lesion. Proportion of history of myocardial infarction is higher in patients experienced of MACE but other characteristics were similar as compare to non-MACE group. MACE-free survival is 83.6% during 12 months follow up.Conclusion. In our population, implantation of bioactive stent during primary PCI of STEMI patient is safe and effective. Twelve months MACE-free survival is similar to other study using similar stent or drug eluting stent.
Faktor-Faktor yang Mempengaruhi Perubahan Resistensi Vaskular Pulmonal segera Pasca Komisurotomi Mitral Transvena Perkutan pada Stenosis Mitral Adi Purnawarman; Nur Haryono; Indriwanto Sakijan
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.94

Abstract

Background. In mitral stenosis (MS) patients, the increase in pulmonary arterial pressure and severity of the clinical symptom is not always related to the severity mitral valve stenosis and mitral valve gradient, but the pulmonary vascular resistance (PVR) as well. Methods. It’s a cross sectional study. PVR is measurement with invasive procedure before and immediately after the Balloon Mitral Valvotomy (BMV) procedure. The analysis was performed to assess the correlation of the age, gender, mitral valve area (MVA), mitral valve gradient (MVG), systolic pulmonary artery preasure (sPAP), mean pulmonary artery preasure (mPAP), mean left atrial preasure (mLAP), mitral score and improvement of the PVR immediately after BMV procedure.Results. There were 136 patients with mitral stenosis in the period 2008 Jan – 2010 Oct. Seventy five subjects (55.1%) had a atrial fibrilation (AF), 4 subjects (2.9%) complicated with severe aortic stenosis and 2 (1.4%) moderate to severe mitral regurgitation. Of 29 subjects eligible, 65.5% were women with age of 34 (19-53) years. After BMV, MVA increase from 0.5 (0.2 -1.3) to 1.0 (0.3 to 2.4) cm2 (p <0.001), MVG decreased from 19.0 (4 -29) to 7,0 (2 -10) mmHg (p <0.001), cardiac output increased from 2.8 (1.7 to 4.6) to 3.2 (2 -6) L (p <0.001), mPAP decreased from 56.1 ± 12,1 to 41.4 ± 9.8 mmHg (p <0.001), sPAP decreased from 87 (28-110) to 69 (18-110) mmHg (p <0.001), mLAP decreased 28.9 ± 8.0 to 16.0 ± 6.8 mmHg (p <0.001) and PVR decreased from 9.0 (6.3 to 17.8) to 7.8 (2.6 to 14.3) (P <0.001) immediately after the procedure. MVA pre procedure was significant different between subject with and without PVR reduction below 6WU (0.6[0.4-1.3] vs 0.4[0.2-0.7], p=0.024). Logistic regression analysis showed MVA was a predictor of PVR reduction immediately after procedure (OR 0,003 with p value 0,04 and 95% C.I. 0,0001 – 0,766).Conclusion. The pre-procedure MVA is a predictor of PVR reduction immediately after BMV procedure.
Balloon Mitral Valvulotomy (BMV): Mengapa Resistensi Paru Tidak Selalu Menurun? Otte J Rachman
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.95

Abstract

Mitral stenosis merupakan kelainan yang di negara kita masih merupakan masalah, terutama mengakibatkan menurunnya kemampuan fisik seseorang sehingga mengurangi kualitas hidup yang diinginkan. Hal ini disebabkan masih prevalennya demam rematik akutpada anak-anak yang tidak diobati dengan memadai dengan sekuele utamanya mengenai katup mitral.Salah satu akibat dari mitral stenosis adalah meningkatnya tekanan pada sirkulasi paru akibat bendungan pada system vena paru dan menimbulkan hipertensi pulmonal. Meskipun upaya untuk menghilangkan penyempitan katup baik dengan intervensi bedah maupun non bedah dengan Balloon Mitral Valvuloplasty (“BMV”) mendapatkan hasil yang baik dengan menghilangkan penyempitan pada aliran paru, namun tidak semua penderita yang menjalani upaya ini dapat kembali normal dari segi morbiditas karena fisiologi yang normal tidak semuanya dapat kembali berjalan terutama pada penderita-penderita lanjut yang terlalu lama mengalami abnormalitas dari fisiologi aliran paru.
Teknik Balon Ganda Untuk Ablasi Septum Miokardium Transluminal Perkutan Pada Kardiomiopati Hipertrofik Haryadi Adi; Yoga Yuniadi; Dicky A Hanafy
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.96

Abstract

Percutaneous transluminalseptal myocardial ablation (PTSMA), has been a standard treatment of hypertrophic cardiomyopathy (HCM). Rarely, special technique of PTSMA needed for complicated HCM case with collateral of target artery (septal perforator) into distal left anterior descending. To overcome such problem, a case of double balloon technique during PTSMA will be elaborated.
Hipereaktivitas Bronkus pada Pasien Gagal Jantung Santi R Dewayanti
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.97

Abstract

Incidence of paroxysmal dyspnea accompanied by wheezing and coughing is a typical picture of congestive heart failure (congestive heart failure/CHF) formerly known as cardiac asthma. The symptoms are also present in bronchial asthma induced by the stimulus nonspecific bronchial hypereactivity.Bronchial Hypereactivity (BHR) is a wide bronchial constriction and bronchoconstriction response that gives rise to a variety of inhaled stimuli. Hypereactivity is characteristic of bronchial inflammation in asthma and is associated with the degree of severity of asthma. The intensity of the inflammation associated with airway sensitivity, airway wall thickness and airway reactivity. Airway obstruction in heart failure is clinically according to the classical picture of cardiac asthma.The presence of obstructive defects on spirometry showed lung function impairment in CHF. Functional sign of airway constriction is a reduction of the FVC FEV1 ratio, forced expiratory flow from different levels of FVC, airway obstruction on clinical heart failure according to the classical picture of cardiac asthma.Structural changes in the dam, especially bronchial, bronchial arteries and bronchial wall thickening of the bronchial hypereactivity role in non-allergic stimuli obtained in patients with CHF. Spirometry showed a decrease FEV1 and FEV1/FVC ratio. Abnormal results to be the cause of shortnessof breath which is the most frequent symptom in CHF.
Mekanisme Atrial Fibrilasi pada Hipertiroid Wenny Fitrina Dewi; Yoga Yuniadi
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.98

Abstract

Atrial fibrillation (AF) is the most common cardiac arrhythmia other than sinus tachycardia encountered in hyperthyroidism and representing an independent risk factor for cardiovascular event. Atrial fibrillation occurs in 10-15% of patient with hyperthyroidism, where as prevalence increase with advancing age. The heart is a major target organ for thyroid hormone action. Thyroid hormones exert their cardiovascular effects either directly at cardiomiosit through nuclear receptors (gen transcription) and extra nuclear (cellular) which is influence inotropic, chronotropic and dromotropic effect and indirectly by influencing sympatoadrenergic system and altering peripheral hemodynamic. Hyperthyroidism is associated with an increased supraventricular ectopic activity. Hyperthyroidism increases the rate of systolic depolarization and diastolic repolarization, decreases the duration of the action potential and refraction period of the atrial myocardium, as well as atrioventricular nodal therefore facilitated the occurrence of atrial fibrillation.
Ekokardiografi Aliran Vena Pulmonar Heru Sulastomo; Amiliana M Soesanto
Jurnal Kardiologi Indonesia Vol. 32, No. 3 Juli - September 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i3.99

Abstract

Saat ini penggunaan Doppler aliran vena pulmonar (AVP) semakin meningkat seiring dengan ber-tambahnya informasi tentang fungsi ventrikel kiri dan katup mitral yang bisa didapat dari pemeriksaan tersebut. Pemeriksaan ini juga dapat sebagai parameter keparahan regurgitasi mitral dan fungsi diastolik ventrikel. Penilaian pola AVP dapat dilakukan dengan baik dan reprodusibel, walaupun nilai normalnya memiliki rentang yang luas dan agak berbeda antara hasil pemeriksaan dengan ekokardiografi transtorakal (ETT) dan ekokardiografi transesofageal (ETE) karena perbedaan teknik dan hemodinamik.

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